20170518105328.pdfLr' CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 05/18/2017 BLD20170677
Expiration Date: 11/18/2017 I'miect kildress: 23 129 76TIl ANT W. EDMONDS
Parcel No: 00488800400302
DANIEL CURNUTT DANIEL CURNUTT CROWN PLUMBING INC
23129 76TH AVE W 23129 76TH AVE W C/O NATHAN BARNES
EDMONDS, WA 98026-8703 EDMONDS, WA 98026-8703 1311 BONNEVILLE AVE
SNOHOMISH, WA 98290
(425) 249-1014 (425) 249-1014 (425) 877-9626
LICENSE #: CROWNP1910QE EXPJ 1/05/2017
COMPLETE PLUMBING WORK ON BLD2016-1522
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP- 47 - Plumbing
GRADING. N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY
OCCUPANT GROUP
OCCUPANT OAD
FENCE: OXO FT
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
IVESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT 4:
BASEMENT: 0 1 ST FLOOR 0 21ND FLOOR 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
IBEDROOMS: 0 BATHROOMS: 0
FRONT SETBACK SIDESETBACK REAR SFTBACK
REQUIRED: PROPOSED: FQT]RED: PROPOSED. IREQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAT ING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27
THIS M!�?ICA'rwv is)QT A PI-ItMiT UNTIL SIGNED BYTHF. BUILDING OFFICIAL OlZ 111,S/1JER Dl�:PUTYAND ALL. FEESAIZE PAID
Print Narne Date Rel*sed By
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED, UBC109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT = ASSESSOR OTHER
STATUS: ISSUED BLD20170677
CONDITIONS
• Final approval on a projector final occupancy approval must�be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
SoundNoise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites /activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
I INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMITTIME LIMIT: SEE ECDC 19.00.005(A)(6)
I (',,XLL FOR INSI`111"IONS
J RIMING (42.5) 771-0220 EXT. 1333 ENGINEERING (425) 771-0220 FXT. 1326 FIRE(425) 775-7720
PUBLIC WORKS (425) 771-0235 PR&TREATMENT (425) 672-5755 RECYCLING (425) 275-4801
When calling for an inspection please leave the follovving information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed. and vdiether vou mcfer mornini! or afternoon.
. B-Plumbing Final
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
1215 1h Avenue N, Edmonds, WA 98020
Phone 425.771.0220!k Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Z ---
Z& (pjVA_ W
Parcel #:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes F] No �X
Associated Permit #:
APPLICANT:
Phone:
Fax:
Address (Street, City, State, ZW):
A(Isl
1, L o 7 41, & &-elez,44 e WA'"'a
E-Mail Address:
PRAPERTY OWNER:
j ),A w ic5l_ ( (9 OX V07-
Phone:
Fax:
1
Ad4�s (Street, C ty, Stat
0-7 4 0 �9f
E-Mail Address:
\LEND G AGENCY:
Phone:
Fax:
4* (0�s (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
Phone:
Fax:
Addres1treet, C*t , Stjl�, Zip):
0
E-Mail Address:
*Contractor must have a valid City of Edmonds business license prior to doing work
in the City. Contact the City Clerk's Office at 425.775.2525
WA State License #/Exp. Date:
City Business License #/Exp. Date:
PLUMBING KI MECHANICAL TANKI
I DEMOLITION I I
DETAIL THE SCOPE OF WORK: Ob- V-\, Aj tw%j
b \-p 2Q I (D — 1 C,:5 _a e—a-
I declare under penalty ofperjury laws that the information I have provided on this formlapplication is true, correct and complete,
and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of
Edmonds.
Print Name Owner 0 Agent/Other T (specify):
Signature: Date: OY 1Y 1-7
FORM C LABuilding New Folder 201000NE & x-ferred to LBuilding-New drive\Form C 2014.docx Updated: 1/17/2014
In
Wmin j
Fixture Type (new and relocated)
Total #
�
Fixture Type (new and relocated)
Total #
Water Closet (Toilet)
Pressure Reduction Valve/Pressure Regulator
Sink (kitchen, laundry, lavatory, bar, eye wash, etc.)77,Water
Service Line
Tub/Shower
Drinking Fountain
Dishwasher
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
Water Heater Tankless? Yes [—] NoE]
Hydronic Heat in: Floor 0 WalIE]
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for water/ice dispenser)
Other:
MECHANICAL
Equipment Type
Appliance/Equipment Information (new and relocated)
Total #
Furnace
Gas #—Elec
#—Other:—
# BTUs: <100k— >100k--
Location(s)
Air Handler / VAV
Gas #—Elec
#—Other:—
#—CFM: <10k— >10k—
Location(s)
(circle selected)
AC / Compressor
Boiler / Heat Pump
Gas#—Elec#—011ier:—
#—BTUs:—<I00k,-100k-500k,
—500k-lMil
Roof Top Unit
HP:
<3,
_3-15, _15-30
Location(s)
(circle selected)
Hydronic Heating
Gas #_Elec
#_In
-Floor
—Wall Radiant— Boiler BTUs:
Location
Exhaust Fans (single
Bath #
Kitchen # Laundry #
#
duct)
—0ther:
Fireplace
Gas #—Elec
#—Other:--
# Location(s)
Dryer Duct
Appliance Type
Appliance/Equipment Information (new and relocated)
Total #
7
AC Unit
BTUs: Location(s):
Furnace
BTUs: Location(s):
Water Heater
BTUs: Location(s):
Boiler
BTUs: Location(s):
Other:
BTUs: Location(s):
Fireplace/Insert
BTUs: Location(s):
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
FORM C LABuilding New Folder 201000NE & x-ferred to LBuilding-New drive\Form C 2014.doex Updated: 1/17/2014